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Success Stories - N. M. Wadia Heart Hospital

Revolutionizing Cardiac Care:

Dr. Naresh Munot and Team’s Remarkable TAVI Success

We are delighted to share the remarkable achievement of our esteemed cardiologist, Dr. Naresh Munot, and his exceptional team at the N.M Wadia Institute of Cardiology. Recently, they successfully performed a complex Trans-catheter Aortic Valve Implantation (TAVI) procedure with outstanding results for a 67-year-old female patient. Thanks to their expertise and precision, the patient underwent this groundbreaking minimally invasive procedure and was able to return home the very next day.

TAVI, also known as Trans-Catheter Aortic Valve Replacement (TAVR), is a revolutionary technique used to treat aortic valve stenosis, a condition where the heart's aortic valve becomes narrowed. This advanced procedure offers numerous advantages, including enhanced safety and a quicker recovery time for patients.

In comparison to traditional open-heart surgery, TAVI involves accessing the heart through a small incision, usually in the groin, and guiding a specially designed replacement valve through a catheter to the site of the narrowed valve. This innovative approach eliminates the need for sternotomy (chest incision) and heart-lung bypass, resulting in reduced risks, shorter hospital stays, and faster rehabilitation.

Dr. Naresh Munot and his team have demonstrated exceptional expertise and dedication in delivering outstanding outcomes for their patients. Their successful TAVI procedure once again highlights the immense benefits and safety of this approach, providing hope for individuals facing aortic valve stenosis.

We extend our heartfelt congratulations to Dr. Naresh Munot and his team for their remarkable accomplishment and unwavering commitment to advancing medical excellence. Their dedication to patient care and innovative practices are truly commendable.

First OCT guided angioplasty at NM Wadia Institute of Cardiology
OCT Optical Coherence Tomography is a novel imaging technique which uses near infrared light to create images inside of blood vessels. The technique delivers very high resolution images and we can see inside blood vessels of heart very clearly.
The blockage, its percentage, its cause, its calcification, plaque vulnerability to rupture in future can be assessed by this technique. Size of balloon, type of tools needed to prepare the bed for stent can be assessed and planned.
Whether to use rotablator or cutting balloon or noncompliant balloon can be decided before stenting..After deploying the stent we can see if it is fully expanded and apposed to vessel wall can be seen. This helps us understand the need for further strategy.
This results in better outcome of angioplasty and stenting..Dr Ritu Bhatia, Consultant Cardiologist at N.M.Wadia institute performed the first OCT guided angioplasty on a 57 year old patient in Sept 2021 with our Cath lab staff and team.
N.M Wadia Institute of Cardiology performs Rare Procedure to Save Patient’s Life
Miracles are rare but for this female patient aged 60, diagnosed with severe heart failure, had a rare miracle in literal sense that has saved her life. She got admitted with progressive symptoms, not responding to medical management, under Dr. Pramod Narkhede, Consultant Cardiologist at NMWIC.
Dr. Narkhede said that “the patient had severe Left Ventricle dysfunction with enlarged heart chambers, the cause of which was not known which in medical terms is called idiopathic dilated cardiomyopathy (DCM). The patient’s heart was having Ejection Fraction of 13% which means that the heart was pumping less blood with each heartbeat.”
“We discussed that the best way forward was to do Cardiac Resynchronization therapy (CRT) which is treatment to help your heart beat with the right rhythm. A pacemaker is implanted to restore the
normal timing pattern of the heartbeat. The CRT pacemaker coordinates how timing of the upper heart chambers (atria) and the lower heart chambers (ventricles). It also works on the timing between the left and right sides of the heart. However, patient was too fragile and high-risk case to tolerate the conventional prolonged CRT implantation procedure” said Dr Narkhede. He further added “with explained risk, this complex procedure was performed with newer tolerable safer technique.
Left Bundle Branch Pacing is a feasible innovative strategy for Cardiac Resynchronization Therapy (CRT) for critically sick patient which was done for the First time at NMWIC. Device was implanted with innovative technique of deep screw fixation of left bundle branch pacing (LBBP) lead into the interventricular septum. This procedure was done under the guidance of eminent senior cardiologist Dr. J. S. Duggal and Senior Cardiac Surgeon Dr Ashish Khanijo. Considering the poor tolerance of the patient for the prolonged procedure, all precautions were taken”.